INFORMATION

 

With our outpatient detox service, you can retain your freedom -- be monitored in our comfortable office detox rooms during the day, and stay in your home/hotel room at night, with 24-hour doctor availability by telephone or in person.

1.

It is a requirement that any patient undergoing outpatient detox have a friend or relative with them as their support person(s).  The patient can have as many as two support people accompany them.  It is essential to have this support system in place to help ensure the safety and well-being of the patient during outpatient detox treatment.

2.

The patient must bring all of their prescription medications from home (asthma inhalers, high blood pressure medication, etc.) along with all over-the-counter medications that are used, including vitamins and supplements.

3.

Andrews Institute for Addiction Treatment does not accept insurance and does not participate in any insurance programs, including Medicare.  If you have Medicare insurance, you will be required to sign an opt-out agreement at our office.  Insurance companies have widely variable coverage of addiction treatment, which may not be covered by some plans.  You will be responsible for all charges whether or not they are reimbursed by your insurance company.

 

Payment in the form of cash, cashier's check, bank check, bank money order, personal check, or credit card (MasterCard, Visa, Discover, American Express) will be due at the time of the appointment. 

 

You will be able to submit the billing invoice to your insurance company for possible out-of-network reimbursement.  However, if your insurance company then contacts our office for more information about services provided, be aware that we will be unable to provide any information to them without a signed consent form from you.  If you know that you will be sending bills to your insurance company for attempted reimbursement, please inform us so that a signed consent form can be kept on file in order to expedite the process.  Contact your insurance company directly to obtain information on how to file for out-of-network reimbursement, and whether addiction treatment services will be reimbursed.  Note that urine drug testing and other laboratory services are charged separately from the office visit charge, so you should check with your insurance company regarding coverage of those services also.  You will be responsible for all charges whether or not they are reimbursed by your insurance company.  If you would prefer that your addiction treatment expenses not be submitted to your insurance company, then you should not give your insurance card to the pharmacy or laboratory.

4.

Our practice follows the Federal confidentiality rules (42 CFR Part 2), which states that your authorization is needed to communicate with others (any of your other medical providers, insurance companies, family, friends, etc.) about your treatment.  If you would like others to receive information about your care, then you will be given a release of information form to fill out and sign.  A notice of the policy and procedures regarding confidentiality and release of information will be given to you at your initial visit.

Be aware that in the normal course of providing treatment, information about your care may need to be communicated to laboratories and pharmacies, and your permission to do so will be part of the release of information form.

5.

© 2019 by Andrews Institute for Addiction Treatment, LLC

4125 West Ridge Road, Erie, Pennsylvania 16506

www.addictionmedicinedoc.com

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